| Allenside Family Practice | |
|
2417 Manchester Rd Akron OH 44314 | |
| (330) 848-3377 | |
| (330) 848-3325 |
| Full Name | Allenside Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2417 Manchester Rd, Akron, Ohio |
| Authorized Official Name and Position | Dean Patrick Rich (PHYSICIAN) |
| Authorized Official Contact | 3308483377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allenside Family Practice 2417 Manchester Rd Akron OH 44314 Ph: (330) 848-3377 | Allenside Family Practice 2417 Manchester Rd Akron OH 44314 Ph: (330) 848-3377 |
| NPI Number | 1871570622 |
|---|---|
| Provider Enumeration Date | 12/22/2005 |
| Last Update Date | 01/11/2010 |
| Medicare PECOS PAC ID | 2567485378 |
|---|---|
| Medicare Enrollment ID | O20060106000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871570622 | NPI | - | NPPES |
| 0832808 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34004672 (Ohio) | Primary |
| Provider Name | Dean P Rich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710925557 PECOS PAC ID: 7517980360 Enrollment ID: I20060620000061 |
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